Skip to content
Dx

ICD-10-PCS 2027 procedure code

0FWD4KZRevision of Nonautologous Tissue Substitute in Pancreatic Duct, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Nonaut Sub in Pancreat Duct, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0FWD4KZ

0FWD4KZ is the ICD-10-PCS code for a revision procedure on the pancreatic duct using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other pancreatotomy, the ICD-9-CM procedure title it maps to (52.09).

For a different body part, codes include 0FWB4KZ (hepatobiliary duct).

The same procedure with a different approach is coded 0FWD0KZ (open), 0FWD3KZ (percutaneous), 0FWD7KZ (via natural or artificial opening), 0FWD8KZ (via natural or artificial opening endoscopic) and 0FWDXKZ (external).

With a different device, use 0FWD40Z (drainage device), 0FWD42Z (monitoring device), 0FWD43Z (infusion device), 0FWD47Z (autologous tissue substitute), 0FWD4CZ (extraluminal device), 0FWD4DZ (intraluminal device) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 405 (Pancreas, Liver and Shunt Procedures with MCC), DRG 406 (Pancreas, Liver and Shunt Procedures with CC) and DRG 407 (Pancreas, Liver and Shunt Procedures without CC/MCC), under the surgical category “Pancreas, Liver and Shunt Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
FHepatobiliary System and Pancreas
3. Operation
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
DPancreatic Duct

Includes: Duct of Wirsung

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 52.09Other pancreatotomyapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0FWD4KZ

Is 0FWD4KZ a valid ICD-10-PCS code for 2027?

Yes. 0FWD4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0FWD4KZ an O.R. procedure?

Yes. 0FWD4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0FWD4KZ group to?

Depending on the principal diagnosis, 0FWD4KZ can group to MS-DRG 405, MS-DRG 406 and MS-DRG 407.

What is the ICD-9 procedure code for 0FWD4KZ?

The CMS GEMs map 0FWD4KZ to ICD-9-CM 52.09 (Other pancreatotomy).